Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.27 / $2,118.00 / $5,393.00	Facility		$733.27	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $733.27 / $1,331.05	Professional		$606.53	$733.27	$1,331.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $7,861.26 / $17,146.41	Facility		$4,295.45	$7,861.26	$17,146.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.44 / $1,058.08 / $1,517.97	Professional		$733.44	$1,058.08	$1,517.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $822.95 / $1,203.74 / $2,975.45	Professional		$822.95	$1,203.74	$2,975.45
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $847.67 / $915.12 / $1,018.89	Professional		$847.67	$915.12	$1,018.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,152.13	Professional		$32.34	$32.34	$1,152.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.48 / $912.66 / $1,585.74	Professional		$678.48	$912.66	$1,585.74